42D2191110 CLIA NUMBER - OAKVIEW DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 42D2191110
  • Facility Name: OAKVIEW DERMATOLOGY
  • Facility Address: 937 RIVERWALK PARKWAY
    ROCK HILL, SC
    ZIP 29730
  • Facility Phone: 740 566-4621
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAWN SAMMONS
  • NPI Number: 1942844667
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 42D2191110
LAB Type Physician Office
Facility Name OAKVIEW DERMATOLOGY
Street 937 RIVERWALK PARKWAY
City ROCK HILL
State SC
ZIP 29730
Phone 740 566-4621
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Physician Office
Lab Director DAWN SAMMONS

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This page was last updated on: 9/29/2025